A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?
Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile.
Press water from a sponge rather than wringing it.
Finish weekly household tasks within 1 or 2 days.
Turn doorknobs using a clockwise motion.
The Correct Answer is B
A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.
B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.
D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The footplate keeps the client from sliding down in bed is not the primary function of the footplate in Buck’s traction.
B. The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck’s traction.
C. The footplate works to anchor the traction is incorrect; traction is anchored by weights and pulleys, not the footplate.
D. The footplate prevents pressure sores on the heel is not the primary purpose of the footplate in Buck's traction.
Correct Answer is B
Explanation
A. APTT of 64 seconds is prolonged but not specific to DIC alone; the normal range is generally around 30-40 seconds, and prolonged APTT can be seen in various conditions.
B. A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.
C. A platelet count of 156,000/mm³ is within the normal range for most clients (150,000-450,000/mm³), though it might be lower in acute DIC.
D. A PT of 12 seconds is within the normal range for most clients (11-13.5 seconds), so it does not require reporting for DIC.
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